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General NPI Number Information
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NPI Number | 1427869049
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Entity Type | Individual
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Provider Name | KAITLYN REYFF LLMSW-C
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 117 W 3RD ST
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City | ROYAL OAK
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State | MI
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Zip | 48067-3831
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Country | US
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Telephone | 248-965-6606
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Fax | 313-335-3136
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Provider Business Mailing Address
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Address Line | 64149 DEQUINDRE RD
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City | OAKLAND
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State | MI
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Zip | 48363-2502
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Country | US
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Telephone | 586-651-1715
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851118439
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License Number State | MI
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